TRAUMA-NAVICULAR FRACTURE

SUMMARY

1. Have a higher likelihood of delayed union, nonunion, or avascular necrosis than other stress fractures.

2. Radiographs are often normal, and an MRI or bone scan might be necessary to confirm the diagnosis.

3. Dorsal navicular fractures have the best prognosis, healing by 3 months.

4. Fractures that propagate across the body to involve another cortex have poorer prognosis.

5. Initial management of these fractures consists of non–weight-bearing with boot immobilization for 6 to 8 weeks.

6. If symptoms persist, consider ORIF.

Reference(s)

Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].